7 June 2016

Front door surgeons: the rise of consultant-delivered acute surgical care

Front door surgeons: the rise of consultant-delivered acute surgical care
British Journal General Practitioners DOI: 10.3399/bjgp16X684889 1 May 2016
  • The traditional NHS model for acute admissions has followed a ‘consultant-led’ or ‘consultant-based’ service. The duty consultant may not have personally reviewed the patients admitted acutely under their care until 24 hours later, and thereafter in many cases will have had no further contact with them. 
  • This paper discusses the evidence to support consultant-delivered approach (through prioritising the emergency workload and cancelling elective work for the period the consultant is on call) which can help trusts to reduce emergency admissions, easing pressure on in-patient beds and allowing more efficient use of trust resources.